PRISMA-ScR-Fillable-Checklist COMPLETED_10Sept2019.docx

This scoping review mapped the clinical utility of postural outcome tools for spinal pain. Following Joanna Briggs Institute framework, twelve bibliographic databases were searched until 8^th August 2023. Article selection, characterisation/mapping and synthesis using qualitative content analysis were performed by two independent reviewers. Clinical utility was defined by psychometric and clinimetric criteria. 85 eligible studies were identified from 89 publications. Twenty-eight distinct postural outcome tools plus bespoke measures were identified. Most tools were sophisticated computer-based electronic devices or complex time-consuming questionnaires, with limited applicability in non-occupational settings. Clinical utility domains most achieved were construct validity and inter/intra-rater reliability. Tools being underpinned by the biopsychosocial model of pain, sensitivity to clinical change, and predictive validity were the least achieved. Tools had limited clinical utility and were based on postural-structural-biomechanical pain model.

本项范围综述（scoping review）旨在梳理脊柱疼痛相关姿势结局评估工具的临床应用价值。本研究遵循乔安娜·布里格斯研究所（Joanna Briggs Institute）框架，截至2023年8月8日，共检索了12个文献数据库。由两名独立评审员分别完成文献筛选、特征表征与梳理、以及采用质性内容分析法进行证据合成的工作。临床应用价值以心理计量学（psychometric）与临床计量学（clinimetric）标准进行界定。最终从89篇已发表文献中筛选出85项符合纳入标准的研究，共识别出28种不同的姿势结局评估工具及定制化评估方案。多数工具为精密的计算机化电子设备或耗时复杂的问卷，在非职业场景中的适用性较为有限。临床应用价值维度中表现最优的为结构效度以及评定者间/评定者内信度；而以疼痛生物心理社会模型为支撑、对临床变化具有敏感度以及具备预测效度的工具则表现最差。现有姿势结局评估工具大多基于姿势-结构-生物力学疼痛模型，整体临床应用价值有限。